Do you have the correct system requirements for WSUS? (The app pool default is too low)
https://www.ajtek.ca/wsus/wsus-system-requirements-what-should-i-plan-for/
Are you performing the proper WSUS maintenance including but not limited to running the Server Cleanup Wizard (SCW), declining superseded updates, running the SQL Indexing script, etc.?
https://www.ajtek.ca/wsus/how-to-setup-manage-and-maintain-wsus-part-8-wsus-server-maintenance/